Active NPI
Tara Leigh Hart-Burhoop, PH.D., LP
- Psychologist
- Boys Town, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 880
- Practice address
- 13460 Walsh Dr
Boys Town, NE 68010-7529 - Phone
- (402) 498-3358
- Fax
- (402) 498-3375
- NPI assigned
- Jun 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 880 | NE | Primary |
Addresses
Primary practice location
13460 Walsh Dr
Boys Town, NE 68010-7529
Mailing address
13460 Walsh Dr
Boys Town, NE 68010-7529
Phone (402) 498-3358
Other practice location 1
16929 Frances St Ste 101
Omaha, NE 68130-4684
Phone (531) 355-3358
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025550700 | Medicaid | NE | |
| 47037660631 | Medicaid | NE |
Other names 1
- Tara Leigh Hart
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
18021 Oak St
Suite B
Omaha, NE 68130-6035
Phone (402) 986-6250
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Father Flanagan'S Boys' Home | Current | Accepting new patients | |
| Perspective Behavioral Health | Psychologist | Current | Accepting new patients |
Locations
13460 Walsh Dr
Boys Town, NE 68010
Phone (531) 355-3358
14080 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6900
16929 Frances St
Ste 101
Omaha, NE 68130
Phone (402) 758-5125
555 N 30th St
Omaha, NE 68131
Phone (402) 280-8100
18021 Oak St
Ste B
Omaha, NE 68130
Phone (402) 986-6250
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Omaha, NE
- NPI 1295821825
-
- Psychologist
- Omaha, NE
- NPI 1992434849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1780064006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13460 WALSH DR",
"city": "BOYS TOWN",
"state": "NE",
"postal_code": "680107529",
"telephone_number": "402-498-3358",
"fax_number": "402-498-3375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13460 WALSH DR",
"city": "BOYS TOWN",
"state": "NE",
"postal_code": "680107529",
"telephone_number": "402-498-3358",
"fax_number": "402-498-3375"
}
],
"practiceLocations": [
{
"address_1": "16929 Frances St Ste 101",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681304684",
"country_code": "US",
"telephone_number": "531-355-3358",
"fax_number": "531-355-3375",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HART-BURHOOP",
"first_name": "TARA",
"middle_name": "LEIGH",
"credential": "PH.D., LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-02",
"last_updated": "2021-07-20",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NE",
"license": "880",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025550700",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47037660631",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TARA",
"last_name": "HART",
"middle_name": "LEIGH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Boys Town, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.